Authors Barbara Stanley Gregory K. Brown
License CC-BY-NC-ND-3.0
Safety Plan An Instruction Manual
DISCLAIMER: This is not to be construed as clinical, legal, or ethical advice. This is tool that I made for my own personal use to promote
safety practices with my clients. It is based on the work by Barbara Stanley and Gregory K. Brown (2008). This will not guarantee the
safety of your clients. You use this tool at your own risk by downloading and implementing it in your own practice.
Step 1: Warning Signs of a Crisis Step 4: People I Can Call for Help
What are thoughts, images, moods, situations, behaviors, etc. that might show So now, you’ve tried a bunch of things to shake off the feeling of a crisis. Now this
that a crisis might be developing or that you’re not doing so well? Let’s try to is where you are gonna ask for help. Who’s the first person you would call who can
think of 3. We can only think of 2? That’s fine. Let’s get through the rest and come help to get you through a crisis? Who else can you think of? Let’s write their number
back to it later. down in case you need to call them and you don’t have their phone.
Step 2: Activities I Can Do By Myself to Try to Take my Mind Step 5: Ways That Supportive People Can Help Me Stay Safe
off of Things So what are some things you can do to keep your environment safe? What can your
What are 3 activities you can do by yourself to try to take their mind off of things loved ones do to help you stay safe? Are there any weapons in the home? Can they
[i.e. distract themselves] without talking to someone else? Again, if you can only lock them up? What about things like rope? Can they help you get rid of it? Medicine...
think of at least 2, we’ll come back later and try to think of a third. can they lock it up or can someone be in charge of giving it to you every day?
Step 3: Taking My Mind off of Things Step 6: I Can Call These Very Important Phone Numbers
You’re still trying to deal with this crisis by yourself. Try to identify at least 2 I’ve made this typeable so that you can plug in your local suicide prevention
people you can call or 2 places that a person can go, without yet asking for help... hotline, your local hospital, or other important numbers that the person can
this is to try to simply distract yourself from the crisis growing bigger and trying call if they need to. On the first line, I put my local emergency number: 9-1-1.
to decrease it. We’re going to write their name (or you would call them... you So these are some important phone numbers that I hope you can call if you need
would write “mom” instead of “Connie” for your mom), their relationship to you, help. If you feel out of control, 9-1-1 can help you. Otherwise, here are some other
and their phone number, so that you always have it handy. numbers. What do you think about that?
I Have Great Strengths To Help Me Get By
What are some of the things that have helped you get through other tough times? What are the good things about you that you like about yourself? What has worked in
the past to help you get through crisis?
Safety Plan | Adapted from an original work by Barbara Stanley and Gregory K. Brown
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
's Safety Plan Today's Date: Step 2: Activities I Can Do By Myself to Try
Step 1: Warning Signs of a Crisis to Take my Mind off of Things
1. 1.
Step 5: Ways That Supportive People
2. Can Help Me Stay Safe 2.
1.
3. 2. 3.
3.
Step 3: Taking My Mind off of Things
Step 6: I Can Call These Very PEOPLE I CAN GO TO:
Step 4: People I Can Call for Help Important Phone Numbers 1.
Relationship:
1.
Phone #:
Relationship:
2.
Phone #:
Relationship:
2. I Have Great Strengths Phone #:
Relationship: To Help Me Get By 3.
Phone #: 1. Relationship:
3. 2. Phone #:
Relationship: 3. PLACES I CAN GO TO:
Phone #: 1.
Safety Plan | Adapted from an original work by Barbara Stanley and Gregory K. Brown (2008)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
2.
El Plan de Seguridad de Fecha de hoy:
Paso 1: Señales de una crisis Paso 2: Actividades que puedo hacer solo para
no pensar en cosas
1.
1.
Paso 5: Maneras en que gente apoyable
2.
pueden ayudarme seguir seguro 2.
3. 1.
2. 3.
3.
Paso 3: Distrayéndome
Paso 4: Personas con quien puedo Paso 6: Puedo llamar PERSONAS CON QUIEN PUEDO HABLAR
llamar para buscar ayuda estos números importantes 1.
Relación:
1.
número de teléfono:
Relación:
2.
número de teléfono:
Relación:
2. Tengo Puntos Fuertes Para número de teléfono:
Relación: Ayudarme Seguir Adelante 3.
número de teléfono: Relación:
1.
3. 2.
número de teléfono:
Relación: LUGARES DONDE PUEDO IR
3.
número de teléfono: 1.
Plan De Seguridad | Adapted from an original work by Barbara Stanley and Gregory K. Brown (2008)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
2.